Finally, large scale multicenter studies are needed to determine the accuracy and reliability of NC in identifying overgrowth and obesity in the Iranian pediatric population and to compare it with other assessment parameters (namely WH, BMI, MUAC, and TST) before recommending it as a screening tool in pediatric care and/or research.

However, measurements of middle of the Upper Arm Circumference (MUAC) has been adopted an easy, quick and precise method to detect malnutrition in children under five year age group18 MUAC is better indicator to observe nutritional status in children in emergency situations.

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